title: A case of acute traumatic subdural hematoma in a child with previous bilateral encephaloduroarteriosynangiosis.
abstract: The authors report the case of a 5-year-old female with right-sided hemiparesis and aphasia secondary to moyamoya disease, who had previously undergone staged bilateral encephaloduroarteriosynangiosis procedures. A subsequent ground-level fall caused an acute traumatic subdural hematoma with mass effect and neurological decline. She underwent emergency hematoma evacuation and decompressive craniectomy, which required interruption of the superficial temporal artery that had been used for indirect bypass, followed later by autologous cranioplasty. There were no acute or long-term ischemic events related to the occurrence or treatment of the traumatic hematoma. Follow-up angiography revealed extensive spontaneous vascular collateralization in the field of the decompressive craniectomy and cranioplasty. The patient returned to her pre-injury neurological baseline.
authors.affiliation: Department of Neurological Surgery, Oregon Health & Science University, Mail Code CH8N, 3303 SW Bond Ave, Portland, OR, 97239, USA.
authors.forename: Merlin
authors.initials: M
authors.lastname: Curry
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Whitney
authors.forename: Neil
authors.initials: N
authors.lastname: Roundy
authors.forename: Nathan R
authors.initials: NR
authors.lastname: Selden
mesh_terms: D000058:Accidental Falls; D002548:Cerebral Revascularization / Q000379:methods*; D002675:Child, Preschool; D056424:Decompressive Craniectomy; D005260:Female; D020199:Hematoma, Subdural, Acute / Q000150:complications / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D009072:Moyamoya Disease / Q000150:complications / Q000601:surgery*